Individual
MISS DORRI DONYELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2048 N. ROSEDALE AVE, TULSA, OK 74127
(918) 407-1686
Mailing address
4845 S SHERIDAN RD STE 504, TULSA, OK 74145-5719
(918) 407-1686
(877) 245-1779
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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